Individual provider Active NPI

Erik Johnson Simon, MD

  • Cardiovascular Disease Physician
  • New Lenox, IL
National Provider Identifier
1093106700
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036-155187 Issued in IL
Practice address
1890 Silver Cross Blvd Ste 240
New Lenox, IL 60451-9528
Phone
(815) 485-4458
Fax
(815) 485-4463
NPI assigned
Feb 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X 036-155187 IL Primary

Addresses

Primary practice location

1890 Silver Cross Blvd Ste 240
New Lenox, IL 60451-9528

Mailing address

Pob 7132960
Chicago, IL 60677-1260
Phone (630) 469-9200

Other practice location 1

1801 W Taylor St Ste 3C
Chicago, IL 60612-4795
Phone (312) 355-1700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address esimon379410@dulyhealthandcare.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180731000369 IL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7315295995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1093106700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 7132960",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 240",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519528",
            "telephone_number": "815-485-4458",
            "fax_number": "815-485-4463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 W Taylor St Ste 3C",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606124795",
            "country_code": "US",
            "telephone_number": "312-355-1700",
            "fax_number": "312-355-3093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "ERIK",
        "middle_name": "JOHNSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-17",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-155187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esimon379410@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1890 Silver Cross Blvd Ste 240",
            "city": "New Lenox",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604519528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.